PESA/ TESA

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PESA & TESA Treatment in Jaipur

Advanced Sperm Retrieval Procedures by Dr. Sapna Basandani

Expert Male Infertility Treatment at Anmol Fertility Center, Jaipur

Male infertility can be a challenging obstacle for couples planning to start a family. When sperm are not present in the semen due to blockage or other reproductive issues, advanced sperm retrieval techniques such as PESA (Percutaneous Epididymal Sperm Aspiration) and TESA (Testicular Sperm Aspiration) offer effective solutions for achieving pregnancy through IVF and ICSI treatment.

At Anmol Fertility Center, Jaipur, Dr. Sapna Basandani provides comprehensive fertility evaluation and advanced male infertility treatments to help couples fulfill their dream of parenthood.


What is PESA?

Percutaneous Epididymal Sperm Aspiration (PESA) is a minimally invasive procedure used to retrieve sperm directly from the epididymis. It is commonly recommended for men who have normal sperm production but are unable to release sperm naturally due to a blockage in the reproductive tract.

PESA is Recommended For:

  • Obstructive azoospermia
  • Previous vasectomy
  • Epididymal blockage
  • Congenital absence of the vas deferens
  • Male infertility caused by sperm transport obstruction

Benefits of PESA

  • Minimally invasive procedure
  • No surgical incision required
  • Quick recovery
  • Outpatient treatment
  • Effective sperm retrieval for IVF and ICSI

What is TESA?

Testicular Sperm Aspiration (TESA) is a sperm retrieval procedure in which sperm are collected directly from the testicle using a fine needle. The procedure is commonly performed under local anesthesia and is often recommended when sperm cannot be obtained through ejaculation.

TESA is Recommended For:

  • Obstructive azoospermia
  • Severe male infertility
  • Very low sperm count
  • Failed sperm retrieval attempts
  • IVF and ICSI treatment planning

Benefits of TESA

  • Simple and minimally invasive
  • Short procedure duration
  • Minimal discomfort
  • Same-day discharge
  • Suitable for assisted reproductive techniques

Difference Between PESA and TESA

FeaturePESATESA
Sperm SourceEpididymisTesticle
Procedure TypeNeedle AspirationNeedle Aspiration
Best ForObstructive BlockageObstructive and Certain Male Infertility Cases
Recovery TimeQuickQuick
IVF/ICSI UseYesYes

The choice between PESA and TESA depends on the cause of infertility and the patient’s fertility evaluation.


Why Are PESA & TESA Performed?

These advanced sperm retrieval techniques help men who have:

  • No sperm in semen (Azoospermia)
  • Blockages in the reproductive tract
  • Previous vasectomy
  • Congenital reproductive abnormalities
  • Male factor infertility requiring IVF-ICSI treatment

The retrieved sperm can be used immediately or preserved for future fertility treatments.


Procedure Overview

Before the Procedure

  • Fertility evaluation
  • Semen analysis
  • Hormonal assessment
  • Medical history review
  • Ultrasound if required

During the Procedure

  • Local or short anesthesia
  • Sperm retrieval using a fine needle
  • Collection of viable sperm samples
  • Laboratory processing for IVF/ICSI use

After the Procedure

  • Observation for a short period
  • Same-day discharge
  • Minimal downtime
  • Follow-up consultation

Recovery After PESA & TESA

Most patients recover quickly and return to normal activities within a few days.

Recovery Tips

  • Rest for 24–48 hours
  • Avoid heavy lifting
  • Wear supportive undergarments
  • Follow medication instructions
  • Attend follow-up appointments

Why Choose Dr. Sapna Basandani?

Comprehensive Fertility Expertise

Personalized treatment plans designed according to individual fertility needs.

Advanced Reproductive Care

Access to modern fertility treatments, including IVF, ICSI, and sperm retrieval procedures.

Patient-Centered Approach

Compassionate guidance and support throughout the fertility journey.

State-of-the-Art Fertility Solutions

Evidence-based treatment strategies to maximize reproductive success.

Frequently Asked Questions

Is PESA or TESA painful?

Both procedures are performed under anesthesia and are generally associated with minimal discomfort.

Yes, retrieved sperm are commonly used for IVF and ICSI procedures.

The procedure usually takes 20 to 45 minutes.

No, PESA and TESA are typically day-care procedures.